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中国临床药理学与治疗学 ›› 2021, Vol. 26 ›› Issue (5): 511-515.doi: 10.12092/j.issn.1009-2501.2021.05.006

• 睡眠障碍诊治专栏 • 上一篇    下一篇

昼夜节律失调性睡眠觉醒障碍的治疗策略#br#

吴伟,邓丽影
  

  1. 南昌大学第二附属医院神经内科,南昌 330006,江西
  • 收稿日期:2021-01-14 修回日期:2021-02-22 出版日期:2021-05-26 发布日期:2021-06-02
  • 通讯作者: 邓丽影,女,教授,主任医师,博士生导师,研究方向:睡眠、脑血管病。 Tel: 13803521377 E-mail: dengliying1225@163.com
  • 作者简介:吴伟,男,教授,主任医师,博士生导师,研究方向:神经病学、神经免疫。 Tel: 13807088803 E-mail: 13807038803@163.com
  • 基金资助:
    国家自然科学基金(地区科学基金项目)(31860293) 

Strategies for the treatment of circadian dysrhythmic sleep and wakefulness disorder

WU Wei, DENG Liying   

  1. Department of Neurology, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi, China
  • Received:2021-01-14 Revised:2021-02-22 Online:2021-05-26 Published:2021-06-02

摘要: 昼夜节律失调性睡眠觉醒障碍是一组由于昼夜节律失调而导致的睡眠觉醒紊乱,由于患者主诉入睡困难、早醒、日间思睡等常被误诊为失眠而误治。美国睡眠医学会(AASM)于2014年更新了诊断标准,2015年又发布了相关治疗指南。近年,多个国家发布了相关临床实践指南或共识。昼夜节律失调性睡眠觉醒障碍的治疗方法不同于常见的睡眠觉醒障碍,重点是采用非药物的方法调控昼夜节律,重置24 h睡眠觉醒的正常节律。本文重点介绍其治疗策略及方法。

关键词: 昼夜节律, 睡眠觉醒障碍, 光照, 行为管理

Abstract: Circadian rhythm sleep-wake disorders (CRSWDs ) is a group of sleep-wake disorders caused by circadian rhythm disorder. Patients complain of difficulty in falling asleep, early waking, daytime drowsiness, which are often misdiagnosed and delayed for treatment. The American Academy of Sleep Medicine (AASM) updated the diagnostic criteria in 2014, and issued relevant treatment guidelines in 2015. In recent years, many countries have issued relevant clinical practice guidelines or consensus. The treatment of circadian rhythm sleep-wake disorder is different from the common sleep-wake disorder, with the focus on non-pharmacologic circadian rhythm regulation to reset the normal 24-hour sleep-wake rhythm. This article mainly introduces its treatment strategy and method.

Key words: circadian rhythm, sleep-wake disorders, light therapy, behavior management

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